An audit of percutaneous drainage for acute necrotic collections and walled off necrosis in patients with acute pancreatitis

Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
Bipadabhanjan MallickRakesh Kochhar

Abstract

Percutaneous catheter drainage (PCD) is used as a first step in the management of symptomatic fluid collections in patients with acute pancreatitis (AP). We aimed to compare the outcome of patients with acute necrotic collection (ANC) and those with walled-off necrosis (WON), who had undergone PCD as a part of management of AP. Consecutive patients of AP with symptomatic ANC or WON undergoing PCD were evaluated. Primary outcome measures were need for additional surgical necrosectomy and mortality. Secondary outcome measures were need for up-gradation of first PCD, need for additional drain, in-hospital as well as total duration of PCD and length of hospital stay. Indications of PCD in 375 patients (258 with ANC and 117 with WON) were suspected infected pancreatic necrosis (n = 214), persistent organ failure (n = 117) and pressure symptoms (n = 44). Need for additional surgical necrosectomy was seen in 14% patients with ANC and in 12% of patients with WON (p = 0.364) and mortality was 19% in patients with ANC as compared to 13.7% in those with WON (p = 0.132). There was no significant difference in the secondary outcome parameters between patients who underwent PCD for ANC or WON. Complications of PCD were comparable between pat...Continue Reading

Citations

Aug 2, 2019·The Indian Journal of Radiology & Imaging·Amar MukundChander Mohan
Feb 7, 2020·Digestive Diseases and Sciences·Pankaj GuptaRakesh Kochhar
Dec 18, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rajesh GuptaSurinder Singh Rana
Dec 23, 2020·Journal of Clinical Medicine·Tanyaporn ChantarojanasiriHiroyuki Isayama
Jan 23, 2021·Hepatobiliary & Pancreatic Diseases International : HBPD INT·He ZhangWei-Qin Li
May 7, 2020·Journal of the American College of Radiology : JACR·UNKNOWN Expert Panel on Interventional RadiologyJonathan M Lorenz
Nov 26, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Anupam K SinghRakesh Kochhar
May 5, 2021·Der Radiologe·K DubaszB Radeleff
Jul 29, 2021·The Indian Journal of Radiology & Imaging·Pankaj GuptaRakesh Kochhar

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